34D2023295 CLIA NUMBER - WALGREENS #10255

Laboratory Demographics

  • CLIA Code: 34D2023295
  • Facility Name: WALGREENS #10255
  • Facility Address: 5975 WEDDINGTON-MONROE RD
    MATTHEWS, NC
    ZIP 28104
  • Facility Phone: 704 684-6036
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW JOBE
  • NPI Number: 1699957381
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2023295
LAB Type Pharmacy
Facility Name WALGREENS #10255
Street 5975 WEDDINGTON-MONROE RD
City MATTHEWS
State NC
ZIP 28104
Phone 704 684-6036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director MATTHEW JOBE

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This page was last updated on: 9/29/2025